31B-188 (6) 76 GOTHIC ST SM-2020-0024
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
GIS#: 9519
Map: 31B t
Block: 188 SHEETMETAL PERMIT
Lot: 001
Permit: SHEETMETAL
Category: SHEETMETAL
Permit# SM-2020-0024 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2020-000623
Est.Cost: $8,000.00 Contractor: License: Expires:
Fee Charged:$50.00 NORMAN EMOND Sheetmetal - 12370 03/28/2021
Balance Due:$.00 Owner: Patrick Melnik
#of Fixtures: Applicant. NORMAN EMOND
DigSafe# AT. 76 GOTHIC ST
UseGroup
ConstClass
ISSUED ON: 27-Jan-2020 AMENDED ON. EXPIRES ON.
TO PERFORM THE FOLLOWING WORK.-
HVAC
ORK.HVAC DUCTS ON ALL 3 FLOORS
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: 4� //'
-" �`,4
Fee Type: Receipt No: Date Paid: Check No: Amount:
Sheetmetal REC-2020-002377 24-Jan-20 1386 $50.00
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:Ihasbroucknnorthamptonma.gov
GeoTMS%2020 Des Lauriers Municipal Solutions,Inc.
Commonwealth of Massachusetts
Sheet Metal Permit
C�� G 00
Date: C t13! °Z Gid Permit# c�O' ,Z
Estimated Job Cost: $_S COC. OC) Permit Fee: $ 00
Plans Submitted: YES V NO Plans Reviewed: YES NO
Business License# n RC Applicant License# 1 a3-10
Business Information: Property Owner/Job Location Information:
Name: (,ro,�2.5 tW !4C.2 Name:
Street: %?,5 Fc,\1 t, P�A,_ Street: 716 GG h;c. gat
City/Town: '(. Fc>,��S. M!A I O�:�> ,, City/Town:1JC)-,ck\-\C v,.,o\vo-,-\, Ml
Telephone: LAt 3 :1-4'4 94 q D, Telephone: 4 ?, t{
Photo I.D.required/Copy of Photo I.D. attached: YES ✓ NO
Staff Initial
J-1 unrestricted license
J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less
Residential: 1-2 family Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. ft.-4— over 10,000 sq. ft. Number of Stories: _
Sheet metal work to be completed: New Work: Renovation:
HVAC_ (X Metal Watershed Roofmg Kitchen Exhaust System
Metal Chimney/Vents Air Balancing
Provide detailed description of work to be done:
C11 3 .?_lnnr
. �._
i
DEPT OF BUILDING,INSPE
NORTHAMPTON.MA 01060
INSURANCE COVERAGE:
I have a current liabilft insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes �No ❑
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter
112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Sibnature of Owner or Owner's Agent
By checking this box ,I hereby certify that all of the details and information I have submitted(or entered)
regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and
installations performed under the permit issued for this application will be in compliance with all pertinent provision
of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation: YES NO i/
Progress Inspections
Date Comments
Final Inspection
Date Comments
TypeTypSpf License:
By &Uaster
Title
City/Town ❑ Master-Restricted Signature of Licensee
Permit#
Fee $ ❑ Journeyperson License Number: /,;),370
7®
i ❑ Joumeyperson-Restricted Check at www.mass.gov/dVl
spector Signature f PerA&Approval
1 ❑
S:\InspectionslPERMIT APPLICATION FORMS\Sheet Metal-TOA l.doc
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0312812019 S26163618
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5978 LEYDEN RD
GREENFIELD,MA 01301-9543
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111lONWEALTH Of MASSACHUSETTS
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SHEET METAL WORKERS
ISSUES THE FOLLOWING LICENSE
MASTER-UNRESTRICTED
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NORMAN L EMOND JR !
597 LEYDEN RD 19
APT A
GREENFIELD,MA 09301-9603
!2370 03/28/2029 638880
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